Amy Ballinger Simpson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51772 Issued in TX

Practice address

6300 Rainbow TRL
Fort Worth, TX 76135-5336

Phone

(817) 266-1159

NPI assigned

Sep 15, 2014

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1659772234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W VICKERY BLVD",
            "address_2": "STE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076256",
            "telephone_number": "817-683-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RAINBOW TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761355336",
            "telephone_number": "817-266-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER SIMPSON",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Ballard, CRNA
• David Ballard, DDS
• Vonda Ballard
• James Edward Ballenger, LCSW
• Issac Roy Ballesteros, 101Y00000X
• Ann Ballweg
• Olusola Elizabeth Balogun, M.D.
• Sharon Jean Balsley, CRNA
• Anand J Balson, M.D.
• Esperanza Marie Baltierra

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.